#
#remove scientific notation
options(scipen=999)

—- Load packages —-

library(stringr)
library(corrplot)
## corrplot 0.84 loaded
library(shiny)
library(lme4)
## Loading required package: Matrix
library(lmerTest)
## 
## Attaching package: 'lmerTest'
## The following object is masked from 'package:lme4':
## 
##     lmer
## The following object is masked from 'package:stats':
## 
##     step

—- Load neighborhood data —-

load("Data/county_factors.rda")
load("Data/county_500CitiesData.rda")

—- Load and format covid data —-

data.path <- "Data/COVID-19/csse_covid_19_data/csse_covid_19_time_series/"

# Read in the data
US.deaths <- read.csv(
  paste0(data.path, "time_series_covid19_deaths_US.csv"), 
  header = T, stringsAsFactors = F)
US.cases <- read.csv(
  paste0(data.path, "time_series_covid19_confirmed_US.csv"), 
  header = T, stringsAsFactors = F)

# Read in the header seprately.
US.cases.head <- read.csv(
  paste0(data.path, "time_series_covid19_confirmed_US.csv"), 
  header = F, stringsAsFactors = F)[1,]
US.deaths.head <- read.csv(
  paste0(data.path, "time_series_covid19_deaths_US.csv"), 
  header = F, stringsAsFactors = F)[1,]

# Correct the dates in the header to be more useable as
# column names.
proper_date <- function(dates){
  dates <- sapply(dates, strsplit, split = "/")
  dates <- lapply(dates, str_pad, width = 2, side = "left", pad = "0")
  dates <- lapply(dates, paste, collapse = "_")
  dates <- unlist(dates)
  
  return(dates)
}

dates.cases <- proper_date(US.cases.head[-c(1:11)])
dates.deaths <- proper_date(US.deaths.head[-c(1:12)])

names(US.cases) <- c(US.cases.head[1,1:11], dates.cases)
names(US.deaths) <- c(US.deaths.head[1,1:12], dates.deaths)

if(sum(US.cases$UID != US.deaths$UID, na.rm = T) > 0){warning("COVID data rows do not match!")}
US.cases$Population <- US.deaths$Population
US.cases <- US.cases[,c(1:11, ncol(US.cases), 12:(ncol(US.cases)-1))]

Other stats within the daily reports

data.path <- "Data/COVID-19/csse_covid_19_data/csse_covid_19_daily_reports_us/"
daily_filenames <- list.files(data.path)
daily_filenames <- daily_filenames[daily_filenames != "README.md"]

todays_report_filename <- daily_filenames[length(daily_filenames)]
US.todaysReport <- read.csv(
  paste0(data.path, todays_report_filename), 
  header = T, stringsAsFactors = F)
all.states <- c('Alabama', 'Alaska', 'American Samoa', 'Arizona', 'Arkansas', 'California', 'Colorado', 'Connecticut', 'Delaware', 'Diamond Princess', 'District of Columbia', 'Florida', 'Georgia', 'Grand Princess', 'Guam', 'Hawaii', 'Idaho', 'Illinois', 'Indiana', 'Iowa', 'Kansas', 'Kentucky', 'Louisiana', 'Maine', 'Maryland', 'Massachusetts', 'Michigan', 'Minnesota', 'Mississippi', 'Missouri', 'Montana', 'Nebraska', 'Nevada', 'New Hampshire', 'New Jersey', 'New Mexico', 'New York', 'North Carolina', 'North Dakota', 'Northern Mariana Islands', 'Ohio', 'Oklahoma', 'Oregon', 'Pennsylvania', 'Puerto Rico', 'Rhode Island', 'South Carolina', 'South Dakota', 'Tennessee', 'Texas', 'Utah', 'Vermont', 'Virgin Islands', 'Virginia', 'Washington', 'West Virginia', 'Wisconsin', 'Wyoming')
all.states.df <- data.frame(Province_State = all.states)
all.stats <- c("Confirmed", "Deaths", "Recovered", "Active", "Incident_Rate", "People_Tested", "People_Hospitalized", "Mortality_Rate", "Testing_Rate", "Hospitalization_Rate")

compiled.stats <- list()
for(i in 1:length(daily_filenames)){
  day <- substring(daily_filenames[i],1,10)
  data <- read.csv(
    paste0(data.path, daily_filenames[i]),
    header = T, stringsAsFactors = F)
  compiled.stats[[i]] <- merge(all.states.df, data, all.y = F)
  names(compiled.stats)[i] <- day
}

Functions for compiling and visualizing stats in the daily reports.

plot.dailyStat <- function(state, stat){
  data <- sapply(1:length(daily_filenames), function(x){compiled.stats[[x]][compiled.stats[[x]]$Province_State == state, stat]})
  names(data) <- daily_filenames
  barplot(data, main = paste0(state, " ", stat), las = 2, cex.axis = 1, cex.names = 0.5)
}

plot.dailyStatRise <- function(state, stat){
  data <- sapply(1:length(daily_filenames), function(x){compiled.stats[[x]][compiled.stats[[x]]$Province_State == state, stat]})
  names(data) <- daily_filenames
  
  rise.stat <- matrix(ncol = length(data) - 1, nrow = 1)
  colnames(rise.stat) <- names(data)[-1]
  for(i in 1:ncol(rise.stat) + 1){
    rise <- data[i] - data[i-1]
    rise.stat[i-1] <- rise
  }
  
  barplot(rise.stat, main = paste0(state, " rise in ",stat), las = 2, cex.axis = 1, cex.names = 0.5)
}
  testing.data.state <- compiled.stats[[length(daily_filenames)]][, c("Province_State", "Testing_Rate")]
  testing.data.state <- testing.data.state[order(testing.data.state$Testing_Rate),]
  barplot(testing.data.state$Testing_Rate, names.arg = testing.data.state$Province_State, horiz = T, main = "Testing Rate by State", las = 2, cex.axis = 1, cex.names = 0.5)

Interactive Plots

Province_State - The name of the State within the USA. Country_Region - The name of the Country (US). Last_Update - The most recent date the file was pushed. Lat - Latitude. Long_ - Longitude. Confirmed - Aggregated confirmed case count for the state. Deaths - Aggregated Death case count for the state. Recovered - Aggregated Recovered case count for the state. Active - Aggregated confirmed cases that have not been resolved (Active = Confirmed - Recovered - Deaths). FIPS - Federal Information Processing Standards code that uniquely identifies counties within the USA. Incident_Rate - confirmed cases per 100,000 persons. People_Tested - Total number of people who have been tested. People_Hospitalized - Total number of people hospitalized. Mortality_Rate - Number recorded deaths * 100/ Number confirmed cases. UID - Unique Identifier for each row entry. ISO3 - Officialy assigned country code identifiers. Testing_Rate - Total number of people tested per 100,000 persons. Hospitalization_Rate - Total number of people hospitalized * 100/ Number of confirmed cases.

Split the dataset into the data and the info for usability.

US.cases.info <- as.matrix(US.cases[,1:12])
US.cases.data <- as.matrix(US.cases[,-c(2:12)])
US.deaths.info <- as.matrix(US.deaths[,1:12])
US.deaths.data <- as.matrix(US.deaths[,-c(2:12)])

rownames(US.cases.info) <- US.cases.info[,1]
US.cases.info <- US.cases.info[,-1]
rownames(US.cases.data) <- US.cases.data[,1]
US.cases.data <- US.cases.data[,-1]
rownames(US.deaths.info) <- US.deaths.info[,1]
US.deaths.info <- US.deaths.info[,-1]
rownames(US.deaths.data) <- US.deaths.data[,1]
US.deaths.data <- US.deaths.data[,-1]


ndays.cases <- ncol(US.cases.data)
ndays.deaths <- ncol(US.deaths.data)

nobs <- nrow(US.cases.data)

—- The Curve —-

state.curve <- function(state, stat = c("cases", "deaths"), logScale = T){
  if(stat == "cases"){
    data <- US.cases.data[which(US.cases$Province_State == state),]
  }else if(stat == "deaths"){
    data <- US.deaths.data[which(US.deaths$Province_State == state),]
  }
  data.sum <- colSums(data)
  day.first.case <- min(which(data.sum > 0))
  n.days <- length(data.sum)
  
  if(logScale == T){
    barplot(data.sum[day.first.case:n.days], 
            main = paste0("Total COVID-19 ", stat," by date in ", state, ", log scale"), 
            log = "y", las = 2, cex.axis = 1, cex.names = 0.5)
  }else{
    barplot(data.sum[day.first.case:n.days], 
            main = paste0("Total COVID-19 ", stat," by date in ", state), 
            las = 2, cex.axis = 1, cex.names = 0.5)
  }
}
state.rise <- function(state, stat = c("cases", "deaths")){
  if(stat == "cases"){
    data.thisState <- US.cases.data[which(US.cases$Province_State == state),]
  }else if(stat == "deaths"){
    data.thisState <- US.deaths.data[which(US.deaths$Province_State == state),]
  }
  
  data.sum <- colSums(data.thisState)
  n.days <- ncol(data.thisState)
  
  rise.cases <- matrix(ncol = n.days - 1, nrow = 1)
  colnames(rise.cases) <- colnames(data.thisState)[-1]
  for(i in 1:ncol(rise.cases) + 1){
    rise <- data.sum[i] - data.sum[i-1]
    rise.cases[i-1] <- rise
  }
  
  day.first.case <- min(which(rise.cases > 0))
  n.days <- length(rise.cases)
  
  barplot(rise.cases[,day.first.case:n.days], main = paste0("Rise in COVID-19 ", stat, " by Date in ", state), las = 2, cex.axis = 1, cex.names = 0.5)
}
county.curve <- function(county, stat = c("cases", "deaths")){
  if(stat == "cases"){
    data <- US.cases.data[which(US.cases$Admin2 == county),]
  }else if(stat == "deaths"){
    data <- US.deaths.data[which(US.deaths$Admin2 == county),]
  }
  
  day.first.case <- min(which(data > 0))
  n.days <- length(data)
  
  barplot(data[day.first.case:n.days], main = paste0("Total COVID-19 ", stat," by date in ", county), log = "y", las = 2, cex.axis = 1, cex.names = 0.5)
  
}

county.curve("Tulsa", "cases")

county.curve("Tulsa", "deaths")

—- Calculate some useful stats to compare with neighborhood data —-

US.stats <- data.frame(UID = US.cases$UID)
cases.total <- colSums(US.cases.data)

day.first.case <- min(which(cases.total > 100))
n.days <- length(cases.total)

par(mar = c(5,5,4,2))
barplot(cases.total[day.first.case:n.days], main = "Total COVID-19 cases by Date in US", las = 2, cex.axis = 1, cex.names = 0.5)

barplot(cases.total[day.first.case:n.days], main = "Total COVID-19 cases by Date in US, log scale", las = 2, cex.axis = 1, cex.names = 0.5, log = "y")

deaths.total <- colSums(US.deaths.data)

day.first.case <- min(which(deaths.total > 0))
n.days <- length(deaths.total)

barplot(deaths.total[day.first.case:n.days], main = "Total COVID-19 deaths by Date in US", las = 2, cex.axis = 1, cex.names = 0.5)

barplot(deaths.total[day.first.case:n.days], main = "Total COVID-19 deaths by Date in US, log scale", las = 2, cex.axis = 1, cex.names = 0.5, log = "y")

Average rise in cases per day

avg.rise.cases

rise.cases <- matrix(ncol = ndays.cases - 1, nrow = nobs)
colnames(rise.cases) <- colnames(US.cases.data)[-1]
for(i in 1:ncol(rise.cases) + 1){
  rise <- US.cases.data[,i] - US.cases.data[,i-1]
  rise.cases[,i-1] <- rise
}

US.stats$avg.rise.cases <- apply(rise.cases, 1, mean)

rise.cases.total <- colSums(rise.cases)

day.first.case <- min(which(rise.cases.total > 0))
n.days <- length(rise.cases.total)

barplot(rise.cases.total[day.first.case:n.days], main = "Rise in Cases of COVID-19 by Date in US", las = 2, cex.axis = 1, cex.names = 0.5)

Average rise in deaths per day

avg.rise.deaths

rise.deaths <- matrix(ncol = ndays.deaths - 1, nrow = nobs)
colnames(rise.deaths) <- colnames(US.deaths.data)[-1]
for(i in 1:ncol(rise.deaths) + 1){
  rise <- US.deaths.data[,i] - US.deaths.data[,i-1]
  rise.deaths[,i-1] <- rise
}

US.stats$avg.rise.deaths <- apply(rise.deaths, 1, mean)

rise.deaths.total <- colSums(rise.deaths)

day.first.case <- min(which(rise.deaths.total > 0))
n.days <- length(rise.deaths.total)

barplot(rise.deaths.total[day.first.case:n.days], main = "Rise in Deaths of COVID-19 by Date in US", las = 2, cex.axis = 1, cex.names = 0.5)

Total cases

total.cases

US.stats$total.cases <- US.cases.data[,ndays.cases]

Total cases per capita

US.stats$total.cases.percap <- US.stats$total.cases / US.cases$Population
US.stats$total.cases.percap[US.cases$Population == 0] <- NA
hist(US.stats$total.cases.percap)

Total deaths

total.deaths

US.stats$total.deaths <- US.deaths.data[,ndays.deaths]

Total deaths per capita

total.deaths.percap

US.stats$total.deaths.percap <- US.stats$total.deaths / US.deaths$Population
US.stats$total.deaths.percap[US.deaths$Population == 0] <- NA

max(US.stats$total.deaths.percap,na.rm = T)
## [1] 0.002823954

Total deaths per case

total.deaths.percase Error in Johns Hopkins data has rows with total.deaths > total.cases.

# pos.case.ind <- US.stats$total.cases > 0
# US.stats$total.deaths.percase[pos.case.ind] <- US.stats$total.deaths[pos.case.ind] / US.stats$total.cases[pos.case.ind]
# US.stats$total.deaths.percase[!pos.case.ind] <- 0
US.stats$total.deaths.percase <- US.stats$total.deaths / US.stats$total.cases
US.stats$total.deaths.percase[US.stats$total.cases == 0] <- NA

US.stats[which(US.stats$total.deaths > US.stats$total.cases),]
##           UID avg.rise.cases avg.rise.deaths total.cases
## 3155 84080008     0.00000000      0.02173913           0
## 3203 84090002     0.00000000      0.04347826           0
## 3206 84090006     0.00000000      0.02173913           0
## 3222 84090024     0.00000000      1.15217391           0
## 3229 84090031     0.07608696      0.09782609           7
## 3230 84090032     0.04347826      0.05434783           4
## 3231 84090033     0.11956522      0.52173913          11
## 3252 84090056     0.00000000      0.06521739           0
##      total.cases.percap total.deaths total.deaths.percap
## 3155                 NA            2                  NA
## 3203                 NA            4                  NA
## 3206                 NA            2                  NA
## 3222                 NA          106                  NA
## 3229                 NA            9                  NA
## 3230                 NA            5                  NA
## 3231                 NA           48                  NA
## 3252                 NA            6                  NA
##      total.deaths.percase
## 3155                   NA
## 3203                   NA
## 3206                   NA
## 3222                   NA
## 3229             1.285714
## 3230             1.250000
## 3231             4.363636
## 3252                   NA

—- Merge COVID data with Neighborhood data —-

US.stats$ID <- str_pad(US.stats$UID, 8, "left", pad = "0")
US.stats$ID <- substr(US.stats$ID, 4, 8)

data.merge <- merge(US.stats, county_factors, by = "ID")

—- Plot the relationships —-

data.cor <- cor(data.merge[,-c(1:2)], use = "complete.obs", method = "spearman")
corrplot.mixed(data.cor, upper = 'ellipse', lower = 'number', tl.pos = 'lt', tl.cex = 1, lower.col = "black", number.cex = 0.5)

data.merge2 <- merge(data.merge, county_500CitiesData, by = "ID", all.x = F)

—- Plot the relationships —-

data.cor2 <- cor(data.merge2[,-c(1:2)], use = "complete.obs", method = "spearman")
corrplot.mixed(data.cor2, upper = 'ellipse', lower = 'number', tl.pos = 'lt', tl.cex = 1, lower.col = "black", number.cex = 0.5)

corrplot.mixed(data.cor2[1:7,8:42], upper = 'ellipse', lower = 'number', tl.pos = 'lt', tl.cex = 1, lower.col = "black", number.cex = 0.5)

—-Linear Mixed Effects Model —-

US.todaysReport.states <- US.todaysReport[!is.na(US.todaysReport$FIPS) & nchar(US.todaysReport$FIPS)<=2,]
US.todaysReport.states$FIPS <- str_pad(US.todaysReport.states$FIPS, 2, "left", pad = "0")

data.merge2$stateID <- substr(data.merge2$ID,1,2)

data.merge3 <- merge(data.merge2, US.todaysReport.states, by.x = "stateID", by.y = "FIPS")

this.lme <- lmer("total.cases.percap ~ Affluence + Singletons.in.Tract + Seniors.in.Tract + African.Americans.in.Tract + Noncitizens.in.Tract + High.BP + Binge.Drinking + Cancer + Asthma + Heart.Disease + COPD + Smoking + Diabetes + No.Physical.Activity + Obesity + Poor.Sleeping.Habits + Poor.Mental.Health + Testing_Rate + Hospitalization_Rate + (1 | stateID)", data = data.merge3)
## Warning: Some predictor variables are on very different scales: consider
## rescaling

## Warning: Some predictor variables are on very different scales: consider
## rescaling
print(summary(this.lme), correlation=TRUE)
## Linear mixed model fit by REML. t-tests use Satterthwaite's method [
## lmerModLmerTest]
## Formula: 
## "total.cases.percap ~ Affluence + Singletons.in.Tract + Seniors.in.Tract + African.Americans.in.Tract + Noncitizens.in.Tract + High.BP + Binge.Drinking + Cancer + Asthma + Heart.Disease + COPD + Smoking + Diabetes + No.Physical.Activity + Obesity + Poor.Sleeping.Habits + Poor.Mental.Health + Testing_Rate + Hospitalization_Rate + (1 | stateID)"
##    Data: data.merge3
## 
## REML criterion at convergence: -2506.2
## 
## Scaled residuals: 
##     Min      1Q  Median      3Q     Max 
## -3.1929 -0.3579 -0.0560  0.2347  7.5430 
## 
## Random effects:
##  Groups   Name        Variance    Std.Dev.
##  stateID  (Intercept) 0.000002448 0.001564
##  Residual             0.000006395 0.002529
## Number of obs: 313, groups:  stateID, 48
## 
## Fixed effects:
##                                  Estimate     Std. Error             df
## (Intercept)                 -0.0076046210   0.0054983221 160.0186319102
## Affluence                    0.0018842157   0.0005115882 276.5458521199
## Singletons.in.Tract          0.0011212158   0.0004897653 292.1050248934
## Seniors.in.Tract             0.0004748523   0.0006147572 292.0036323649
## African.Americans.in.Tract   0.0008946579   0.0005927230 292.9632731416
## Noncitizens.in.Tract         0.0006489838   0.0004615817 232.4249776226
## High.BP                     -0.0000086436   0.0001058599 259.1487011978
## Binge.Drinking               0.0001883236   0.0001062674 120.6867000722
## Cancer                      -0.0005340962   0.0006058776 223.9258066577
## Asthma                      -0.0001235823   0.0003639803 132.5915055333
## Heart.Disease                0.0017636366   0.0007833436 169.0580159400
## COPD                        -0.0004212864   0.0006188766 171.9667920206
## Smoking                     -0.0002118272   0.0001359251 189.8062264573
## Diabetes                    -0.0004722073   0.0003035396 242.3273021081
## No.Physical.Activity         0.0000587176   0.0001172461 196.0727938943
## Obesity                      0.0001243364   0.0000974894 288.8872464222
## Poor.Sleeping.Habits         0.0002097653   0.0000938972 274.0698870330
## Poor.Mental.Health          -0.0000151465   0.0002957100  81.1426751871
## Testing_Rate                 0.0000007887   0.0000004344  44.6141502015
## Hospitalization_Rate        -0.0000770806   0.0000511017  34.7373160812
##                            t value Pr(>|t|)    
## (Intercept)                 -1.383 0.168567    
## Affluence                    3.683 0.000277 ***
## Singletons.in.Tract          2.289 0.022776 *  
## Seniors.in.Tract             0.772 0.440489    
## African.Americans.in.Tract   1.509 0.132274    
## Noncitizens.in.Tract         1.406 0.161060    
## High.BP                     -0.082 0.934987    
## Binge.Drinking               1.772 0.078890 .  
## Cancer                      -0.882 0.378979    
## Asthma                      -0.340 0.734748    
## Heart.Disease                2.251 0.025647 *  
## COPD                        -0.681 0.496959    
## Smoking                     -1.558 0.120802    
## Diabetes                    -1.556 0.121092    
## No.Physical.Activity         0.501 0.617069    
## Obesity                      1.275 0.203198    
## Poor.Sleeping.Habits         2.234 0.026291 *  
## Poor.Mental.Health          -0.051 0.959275    
## Testing_Rate                 1.816 0.076165 .  
## Hospitalization_Rate        -1.508 0.140500    
## ---
## Signif. codes:  0 '***' 0.001 '**' 0.01 '*' 0.05 '.' 0.1 ' ' 1
## 
## Correlation of fixed effects could have been required in summary()
## 
## Correlation of Fixed Effects:
##             (Intr) Afflnc Sng..T Snr..T A.A..T Nnc..T Hgh.BP Bng.Dr Cancer
## Affluence   -0.049                                                        
## Sngltns.n.T -0.070  0.031                                                 
## Snrs.n.Trct  0.413  0.297  0.056                                          
## Afrcn.Am..T  0.246  0.078 -0.419  0.213                                   
## Nnctzns.n.T -0.081  0.151  0.131  0.047 -0.183                            
## High.BP     -0.117  0.170  0.104  0.018 -0.262  0.347                     
## Bing.Drnkng -0.422 -0.070 -0.222 -0.080  0.047 -0.070  0.162              
## Cancer      -0.488 -0.096  0.234 -0.186 -0.051 -0.090 -0.328 -0.055       
## Asthma      -0.277 -0.055 -0.251 -0.081  0.011  0.200  0.105 -0.001 -0.154
## Heart.Dises -0.104  0.097 -0.286 -0.121  0.195 -0.029 -0.003  0.036 -0.569
## COPD         0.509 -0.029  0.109  0.150  0.002  0.143  0.044  0.086 -0.225
## Smoking     -0.064  0.089 -0.116 -0.142 -0.113  0.155 -0.100 -0.328  0.168
## Diabetes     0.086 -0.316 -0.102 -0.147 -0.206 -0.278 -0.439  0.081  0.318
## N.Physcl.Ac -0.128  0.049  0.102  0.094  0.069 -0.267  0.020  0.096  0.352
## Obesity     -0.061  0.381  0.380  0.202  0.155  0.187 -0.119 -0.180  0.138
## Pr.Slpng.Hb -0.404 -0.341  0.185 -0.344 -0.347 -0.006 -0.136  0.082  0.033
## Pr.Mntl.Hlt -0.373  0.200  0.005  0.014  0.040 -0.176  0.027  0.110  0.420
## Testing_Rat  0.147 -0.149  0.014 -0.042  0.007 -0.068 -0.102 -0.054  0.000
## Hsptlztn_Rt -0.103  0.025 -0.043 -0.052 -0.008  0.003 -0.018 -0.080 -0.051
##             Asthma Hrt.Ds COPD   Smokng Diabts N.Ph.A Obesty Pr.S.H Pr.M.H
## Affluence                                                                 
## Sngltns.n.T                                                               
## Snrs.n.Trct                                                               
## Afrcn.Am..T                                                               
## Nnctzns.n.T                                                               
## High.BP                                                                   
## Bing.Drnkng                                                               
## Cancer                                                                    
## Asthma                                                                    
## Heart.Dises  0.383                                                        
## COPD        -0.393 -0.510                                                 
## Smoking      0.123  0.062 -0.439                                          
## Diabetes    -0.166 -0.430  0.041  0.303                                   
## N.Physcl.Ac  0.009 -0.321  0.026 -0.284 -0.217                            
## Obesity     -0.152 -0.033  0.088 -0.217 -0.361 -0.044                     
## Pr.Slpng.Hb  0.033  0.262 -0.117 -0.138 -0.085 -0.146 -0.123              
## Pr.Mntl.Hlt -0.352 -0.039 -0.415 -0.027  0.028 -0.022  0.038 -0.096       
## Testing_Rat -0.323 -0.211  0.259  0.068  0.229 -0.139  0.063 -0.140 -0.096
## Hsptlztn_Rt -0.073  0.105 -0.065  0.054 -0.056 -0.013  0.032 -0.011  0.033
##             Tstn_R
## Affluence         
## Sngltns.n.T       
## Snrs.n.Trct       
## Afrcn.Am..T       
## Nnctzns.n.T       
## High.BP           
## Bing.Drnkng       
## Cancer            
## Asthma            
## Heart.Dises       
## COPD              
## Smoking           
## Diabetes          
## N.Physcl.Ac       
## Obesity           
## Pr.Slpng.Hb       
## Pr.Mntl.Hlt       
## Testing_Rat       
## Hsptlztn_Rt  0.233
## fit warnings:
## Some predictor variables are on very different scales: consider rescaling
this.lme.sum <- summary(this.lme)